Individual
MR. RANDALL LILJEGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
825 W FULTON ST, WAUPACA, WI 54981-1471
(715) 258-9000
(715) 258-4119
Mailing address
825 W FULTON ST, WAUPACA, WI 54981-1471
(715) 258-9000
(715) 258-4119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11656-040
WI
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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